Medway Country Manor Skilled Nursing & Rehabilitat

In the surveyor’s words

From the most serious findings on record at Medway Country Manor Skilled Nursing & Rehabilitat, in the surveyor’s own words.

• Immediate jeopardy, widespreadF726Jan 29, 2025

  Based on observations, records reviewed and interviews, for three of seven sampled residents (Resident #3, Resident #5, Resident #6), who required transmission based precautions to be utilized by nursing staff during the provision of care, the Facility failed to ensure, 1) that nursing staff were competent and had the necessary skill set to appropriately care for residents by donning the correct Personal Protective Equipment (PPE) when a resident was on Contact Precautions (CP) or Enhanced Barrier Precautions (EBP), when nursing staff members were observed not following precautions while caring for these residents and 2) that after a nursing staff member responsible for providing direct care to residents tested positive for Group A streptococcal Infection, (GAS, a bacterium that can cause… […]

• Immediate jeopardy, widespreadF773Jan 29, 2025

  Based on records reviewed and interviews for one of seven sampled residents (Resident #1), who per Laboratory test results reported to the facility on [DATE] indicated he/she tested positive for Group A Streptococcal (GAS, a bacterium that can cause many different infections, including strep throat and also cause severe, life-threatening invasive disease, spread person to person through respiratory droplets or direct contact with an infected person's skin sores, nose, throat or wound secretions), the Facility failed to ensure Nursing promptly notified the physician of the results, who was not informed until four days later (1/22/25), as a result Contact Precautions were not initiated timely, therefore placing other residents and staff at risk for potentially contracting and spreading the… […]

• Immediate jeopardy, widespreadF835Jan 29, 2025

  Based on records reviewed and interviews, for two of three nursing units (West and Second) after a staff member Certified Nurse Aide (CNA) #1 tested positive for Group A Streptococcal (GAS, a bacterium that can cause many different infections, including strep throat and also cause severe, life-threatening invasive disease, spread person to person through respiratory droplets or direct contact with an infected person's skin sores, nose, throat or wound secretions) on 1/18/25, facility administration failed to ensure it provided appropriate administrative oversight of Infection Control Practices when CNA #1 was not removed from the schedule until being on antibiotic therapy for 24 hours. […]

• Immediate jeopardy, widespreadF880Jan 29, 2025

  Based on observations, records reviewed and interviews for five of seven sampled residents (Resident #1, Resident #2, Resident #3, Resident #5 and Resident #6), all of which required the need for staff to use Personal Protective Equipment (PPE) during the provision of care due to an active infection, the Facility failed to ensure they implemented and maintained an infection control program that helped prevent the development and spread of infections, including Group A Streptococcal (GAS, a bacterium that can cause many different infections, including strep throat and also cause severe, life-threatening invasive disease, spread person to person through respiratory droplets or direct contact with an infected person's skin sores, nose, throat or wound secretions), that required treatment with… […]

• Actual harm, isolatedF697Mar 19, 2026

  Based on interview and record review, the facility failed to provide adequate pain management for one Resident (#7), out of a total sample of 24 residents, when the facility was unable to reach the Resident's primary care physician for a prescription to order Resident's Oxycodone (short-acting opioid medication used to treat moderate to severe pain), resulting in the Resident suffering with severe pain of 7 on a scale of 1-10 with 10 being the worst pain for 19 hours post-admission. […]